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Individual

DR. JUSTIN TAEHWAN KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7500 KIRBY DR, #1523, HOUSTON, TX 77030-4300
(281) 904-0144
Mailing address
7500 KIRBY DR, #1523, HOUSTON, TX 77030-4300
(281) 904-0144

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A81099
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
A81099
CA

Other

Enumeration date
02/21/2008
Last updated
02/11/2022
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